Social Determinants Questionnaire

Please answer the following questions for a measurement of your organization's efforts to address the social determinants of health.

Leadership Questions

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Have you or your organization committed resources and pursued efforts to address the social determinants of health

Incorporated addressing the social determinants of health into the organization's strategic plan and a number of the organization's care programs, education initiatives, and research strategies

Attended an annual consortium meeting

Participated in a consortium project (identified by consensus) designed to build a national movement and advance the cause of improving the health of the community

Designated a senior administrative official, center or department to oversee institutional efforts

Care Delivery and Research Questions

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Developed working relationships with state or local health officers

Made successful collaborations with partners in the community such as community development organizations, community development financial institutions, social services providers

Used state or local level population data to monitor impact on the health of the community.

Targeted programs that address at least one of the CDC's winnable battles domestically(food safety, global immunization, healthcare-associated infections, HIV, lymphatic filariasis in the Americas, motor vehicle injuries, obesity, mother-to-child transmission of HIV and syphilis, teen pregnancy, and tobacco) with partners inside and outside the healthcare delivery system

Completed, participated or planned a community health needs assessment with follow up to address the needs identified

Have a Community Advisory Board that advises on, and reviews performance in, addressing health issues of interest to the community

Reward faculty or staff that engage in community-based participatory research or practice in inter-professional teams

Education Questions

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Integrated the public health/population health principles into the curricula of most health professions schools

Assessed students on their skills with respect to monitoring and addressing the health of populations

Integrated inter-professional education between at least two health professions schools or programs

Ensured that practicums, experiential learning and graduate medical education training sites are available in the community

Offered joint degree programs in conjunction with the school of public health(for example: MD/MPH, MSN/MPH, PharmaD/MPH, MSW/MPH)

Commitment to Healthy Environment Questions

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Providing a tobacco-free campus or worksite

Offer healthy food choices to employees, students, visitors and/or patients (vending machines, cafeterias, etc.)

Encourage increases physical activity (use of stairs, commuting via bicycle or on foot, etc.)

Made social and/or behavioral health services available to all faculty, staff and students

Safe environmental practices

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